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May 15, 1909


Author Affiliations


JAMA. 1909;LII(20):1579-1580. doi:10.1001/jama.1909.25420460027002d

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The following case is reported because we believe, that, even in the face of a rapidly increasing literature, it is appropriate to draw attention to the not infrequent condition of subphrenic abscess following appendicitis and to the condition of empyema and lung abscess following subphrenic abscess, even when an appendiceal abscess is drained and occasionally after the removal of a non-suppurating appendix.

Patient.  —W. P., aged 26 (family history immaterial), was operated on at Omaha for appendicitis, two years before the date of first examination. He believed it only a drainage operation. A year and a half later an abscess opened externally in the right iliac region. The patient was shortly removed to a hospital, where two attempts were made to close the resulting fistula. At this time there was a swelling of the lower part of the chest on the right side. Later he began suddenly to cough and

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